WO2000012050A1 - Dental glue, glue injector, and device for detecting injected glue - Google Patents

Dental glue, glue injector, and device for detecting injected glue Download PDF

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Publication number
WO2000012050A1
WO2000012050A1 PCT/JP1999/003975 JP9903975W WO0012050A1 WO 2000012050 A1 WO2000012050 A1 WO 2000012050A1 JP 9903975 W JP9903975 W JP 9903975W WO 0012050 A1 WO0012050 A1 WO 0012050A1
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WO
WIPO (PCT)
Prior art keywords
glue
conductive
paste
filling
root canal
Prior art date
Application number
PCT/JP1999/003975
Other languages
French (fr)
Japanese (ja)
Inventor
Kazunori Kusano
Original Assignee
Kazunori Kusano
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Kazunori Kusano filed Critical Kazunori Kusano
Priority to US09/529,145 priority Critical patent/US6537068B2/en
Priority to JP54029999A priority patent/JP3501290B2/en
Priority to EP99931525A priority patent/EP1027876A4/en
Publication of WO2000012050A1 publication Critical patent/WO2000012050A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/04Measuring instruments specially adapted for dentistry
    • A61C19/041Measuring instruments specially adapted for dentistry for measuring the length of the root canal of a tooth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/50Implements for filling root canals; Methods or instruments for medication of tooth nerve channels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/25Compositions for detecting or measuring, e.g. of irregularities on natural or artificial teeth
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/50Preparations specially adapted for dental root treatment
    • A61K6/54Filling; Sealing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/80Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/831Preparations for artificial teeth, for filling teeth or for capping teeth comprising non-metallic elements or compounds thereof, e.g. carbon
    • A61K6/838Phosphorus compounds, e.g. apatite
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/80Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/84Preparations for artificial teeth, for filling teeth or for capping teeth comprising metals or alloys
    • A61K6/844Noble metals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K6/00Preparations for dentistry
    • A61K6/80Preparations for artificial teeth, for filling teeth or for capping teeth
    • A61K6/849Preparations for artificial teeth, for filling teeth or for capping teeth comprising inorganic cements
    • A61K6/876Calcium oxide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00Filling or capping teeth
    • A61C5/60Devices specially adapted for pressing or mixing capping or filling materials, e.g. amalgam presses
    • A61C5/62Applicators, e.g. syringes or guns

Definitions

  • the present invention relates to drugs, instruments and devices used for root canal treatment, and more particularly to a glue used for root canal filling. And a glue filling detecting device.
  • BACKGROUND ART In dental clinical treatment, root canal treatment is often performed. Among them, root canal filling is an operation equivalent to finishing the root canal treatment, and greatly affects the prognosis of the affected tooth. At this time, since the length to the root canal stenosis varies individually depending on the patient, it is necessary to measure the root canal length. Conventionally, there are methods of measuring the actual length of teeth by performing X-ray photography using a reamer, file, measuring scale, etc. as a measuring needle.In recent years, pregnant women and others have been exposed to X-rays. Root canal length measurement methods using impedance measurement are widely used because they are sometimes undesirable and are quick and accurate.
  • the impedance is usually measured in advance based on the conditions of the measuring device when the tip of the reamer comes into contact with the periodontal ligament using a root canal meter, etc. When this value is reached, the screw inserted into the root canal
  • the measured current or resistance value differs by a certain value from the force that is the working length equal to the length obtained by subtracting about l mm from the length of the mer or the value that indicates that it has come into contact with the periodontal ligament
  • the length is set as the working length.
  • root canal filling materials used for such root canal fillings
  • those using gutta punch points and silver points in combination with various sealers and a paste-type root canal filler containing a continuous disinfectant or a bone scar healing promoting agent or the like is used.
  • the above-mentioned technique for filling the root canal with glue is a method in which a hand-operated reamer or the like is rotated in the reverse direction to fill it, or a special device such as a spiral glue root canal filling device such as a Lenz mouth is used.
  • Method, and a method of injecting with an injector such as a syringe are used.
  • an injector such as a syringe.
  • the use of a reamer or Lenz mouth requires extra work such as pre-measurement of the root canal length, and requires the use of special instruments. There is an inconvenience.
  • FIG. 9 is a diagram illustrating a conventional technique for filling a root canal with a glue using an injector.
  • a filling syringe 1 filled with a glue M is used for a root canal filling operation using a conventional syringe.
  • the glue injector 1 includes a storage section 2 and a press-fitting section 3 inserted into the storage section 2.
  • a filler injection tube used as the filling unit 4 is attached to the tip of the storage unit 2, and the tip of the glue injection tube is inserted into the expanded root canal. It is shown.
  • the present inventor has conducted intensive studies on such a problem, and as a result, filled the root canal with a paste provided with a conductive member with a paste provided with conductivity by adding a conductive material. As a result, they found that it was possible to confirm that the glue was properly filled in the root canal using the same method as the impedance measurement used for measuring the working length, and completed the present invention.
  • the above object of the present invention is solved by using the paste, paste filler and root canal filling detecting device of the present invention.
  • the first configuration of the present invention provides a dental paste characterized by adding a conductive material to a root canal filling paste.
  • the conductive material is a powder.
  • the conductive material is a metal powder, a metal oxide powder, a doped metal oxide powder, a metal, a metal oxide, or a metal doped with inorganic particles. It is preferably selected from the group consisting of conductive powder coated with a conductive material selected from oxides, carbon powder, force—bond force, and whisker to which metal is fixed.
  • the sizing agent for filling a root canal contains a compound selected from calcium hydroxide, hydroxyapatite, and tricalcium phosphate.
  • the glue for filling the root canal contains a compound selected from hordeform, barium sulfate, anhydrous zinc sulfate, aluminum sulfate, and zinc oxide.
  • the paste for filling a root canal preferably contains a vehicle selected from silicone oil, guaiacol formaldehyde mixture, propylene glycol, anhydrous ethanol, castor oil, and liquid paraffin.
  • the glue for filling a root canal is a compound selected from chordform, barium sulfate, anhydrous zinc sulfate, aluminum sulfate, zinc oxide, silicone oil, guaiacol formaldehyde mixture, propylene glycol, anhydrous It preferably contains a vehicle selected from ethanol, castor oil, and liquid paraffin.
  • the glue for filling a root canal contains an X-ray contrast agent.
  • the first configuration of the present invention it is preferable to add 5 to 50% by weight of a conductive material based on the solid content of the glue for filling a root canal.
  • the glue for filling a root canal contains a compound selected from calcium hydroxide, hydroxyapatite, and tricalcium phosphate in an amount of 30% by weight or more based on the solid content of the glue for filling a root canal. It is preferred to contain.
  • a storage section for storing the conductive glue, a press-fitting section inserted into the storage section, a filling section for filling the narrow section with the conductive glue, A conductive member for connecting the paste to the external electrode; and a paste injector for dental treatment.
  • the conductive member includes a terminal that is exposed on an end face of the press-fitting portion inserted into the paste housing portion and contacts the conductive glue; and a press-fit portion provided in the press-fitting portion. It is preferable that the terminal be composed of a terminal exposed to the outside and a lead wire connecting the terminals.
  • the conductive member is penetrated into the press-fit portion.
  • the conductive member includes an end extending to the inner passage of the filling portion, an end exposed to the outside of the glue injector, and an end of each end. It is preferable to provide a lead wire for connecting between them.
  • a paste injector that contains a conductive paste therein and includes a conductive member for electrically connecting the conductive paste to an external electrode; And a current indicator for indicating a current flowing through the conductive glue, and a current detector for measuring a current flowing through the conductive glue.
  • FIG. 2 is a diagram showing a detailed portion of the glue injector of the present invention.
  • FIG. 3 is a view showing a second embodiment of the glue injector of the present invention.
  • FIG. 4 is a diagram showing the configuration of an apparatus for impedance measurement conventionally used for measuring the working length in the past.
  • FIG. 5 is a diagram showing a method for measuring a root canal length by impedance measurement using a reamer.
  • FIG. 6 is a diagram showing a configuration when filling a conductive glue D into a root canal of a diseased tooth using the glue injector according to the first embodiment of the present invention.
  • FIG. 5 is a view showing a state in which a root canal is filled with a conductive paste by using the paste injector according to the second embodiment of the present invention and having the same configuration as that of FIG.
  • FIG. 8 is a diagram showing an electric circuit configuration used for testing the paste of the present invention.
  • FIG. 9 is a diagram showing a method of filling a paste using a conventional syringe.
  • BEST MODE FOR CARRYING OUT THE INVENTION The present invention provides a conductive paste for dental treatment, that is, a conductive paste, a paste injector used for filling the paste, and a paste filling detecting device. Things.
  • the conductive glue, the glue injector, and the glue filling detection device will be described in detail with reference to the drawings as necessary.
  • a conductive paste suitable for the conventional compositions for producing calcium hydroxide paste, zinc oxide glue paste, chodeform paste and paraform / formalin paste is used. It can be manufactured by kneading materials.
  • these conventional paste compositions specifically, commercially available products include powders of paraformaldehyde such as trio zinc pasta, anhydrous zinc sulfate, aluminum sulfate, potassium sulfate, and zinc oxide powders such as cresol, phenol and creo.
  • Powders such as hordeform powder, parachlorophenol camphor, menthol, lanolin, conceptssene kneaded, carbital, etc.
  • powders such as hordeform, calcium hydroxide, sulfatiazol, guanofuracin, T-force, Calcium iodide powder, kneaded form powder kneaded with silicone oil
  • powders such as FR, such as calcium hydroxide, zinc oxide, and barium sulfate, are mixed with guaiacol formaldehyde mixture, propylene glycol, anhydrous ethanol, castor oil, and liquid paraffin.
  • a polymerization resin such as Seal apex and calcium hydroxide.
  • a paste using a polymer material such as Endo fi 11 as a base material and a paste using hydroxyapatite or tricalcium phosphate also have an affinity for living tissue, It can be used because it has the effect of promoting the formation of hard tissue and absorbs even if it overflows through the apical foramen.
  • the content of the above-mentioned calcium hydroxide, hide mouth xixapatite, and tricalcium phosphate is preferably 30% by weight or more, and more preferably 50% by weight or more, of the solid content contained in the conductive paste. Is preferred.
  • a conductive powder so that the paste can be sufficiently kneaded with the paste having the above-described composition.
  • a conductive powder has a particle diameter of, for example, about 200 A to 100 in terms of volume average particle diameter, more preferably 0.01 to 80 m, and further preferably 10 to 50 m. It is preferable to set it to about m in order to perform good filling.
  • various kinds of powder such as sphere, needle, and scale can be used.
  • These powders in particular, gold powder, silver powder, copper powder, metal powder such as nickel powder, Z n O, S N_ ⁇ 2, I 2 0 3, ITO , metal oxides such as S n O 2 the powder, these metal oxide powders anti Monde one flop like conductive as needed, those subjected to various doping, B a S 0 4 conductive such metals and S n 0 2 in the powder those coated with wood charge, T i 0 2 powder particle surface were co one coating in a g, powder T I_ ⁇ 2 coated with S n 0 2, conductive carbon black, potassium titanate Powder was fixed with A g and P d in Umuuisu force of all, the powder coated with conductive S n 0 2 in Uisuka, acicular powder such high ⁇ scan Bae transfected ratio of conductive carbon whisker, First Can be mentioned.
  • the volume resistivity of the conductive paste can be improved even with a small amount of addition.
  • the volume resistivity of the above conductive paste agent it is possible to 1 0- 2 ⁇ cm ⁇ 1 0 6 ⁇ cm, the resistance value of the conductive paste material upon filling the root canal portion root It is preferable that a resistance value approximately equal to the resistance value through the membrane can be given. As described below, if the volume resistivity is too high, the detection of filling to the root canal stenosis by resistance measurement may not be performed with sufficient accuracy.
  • the amount of the above-mentioned conductive powder to be added to the conductive paste of the present invention can be appropriately set so that a necessary volume resistivity can be given to the conductive paste. It is preferably added in the range of 5% by weight to 50% by weight based on the solid content contained in the conductive paste, and more preferably 10% by weight to 30% by weight based on the solid content of the conductive paste. % Is preferably added.
  • the content of the above-mentioned vehicle contained in the conductive paste is from 10% by weight to 70% by weight of the conductive paste, more preferably from 30% by weight to 60% by weight. Can be.
  • calcium hydroxide those of the Japanese Pharmacopoeia can be used, and those having a particle size of 10 to 50 m are used.
  • iodoform is added to the conductive paste.
  • eordholm significantly enhances the antibacterial properties of the paste and improves the X-ray contrast.
  • vehicle such as silicone oil is added to calcium hydroxide.
  • silicone yl makes it possible to impart the corrosion resistance of the sizing agent and to impart appropriate fluidity.
  • X-ray contrast agents such as bismuth subcarbonate, bismuth sulfate, and zirconium silicate are used.
  • X-ray contrast can be improved.
  • any conventionally known dispersion method can be used.
  • various mixing / dispersion methods should be used. Is possible.
  • calcium hydroxide is added in advance with kneaded form and silicone oil and kneaded to form a base, and then conductive powder is added and kneaded again. By doing so, a conductive paste can be obtained, and the conductive paste thus obtained can be stored in a syringe-shaped injector and used as needed.
  • the non-conductive powder such as calcium hydroxide and the conductive powder can be simultaneously kneaded with a vehicle such as silicone oil.
  • a conductive powder such as gold, silver, copper, or nickel powder having the above-described particle size range can be added to obtain the conductivity in the above-described range.
  • the paste is given conductivity, and the paste is filled into the root canal with an injector equipped with a conductive member, and the glue is properly filled into the root canal by measuring the resistance. You can confirm that.
  • the heat conductivity of the sizing agent itself can be improved, and a good feeling of heat and electro sensation can be obtained.
  • carbon powder when carbon powder is used, it has an effect of absorbing formaldehyde, which is a main component of formcresol used in treating root canals.
  • FIG. 1 is an exploded perspective view showing a glue injector 1 according to a first embodiment of the present invention.
  • the injector 1 includes a conductive glue storage section 2, a press-fitting section 3 that can be inserted into the storage section 2, and a filling section 4 formed in a tapered tube shape disposed at the distal end of the storage section 2. And a seal member 5 provided on the side of the press-fitting portion 3 inserted into the housing portion 2.
  • the storage section 2 and the press-fitting section 3 described above can be formed using a synthetic resin such as glass, polypropylene, polycarbonate, or polyvinyl chloride. , Polycarbonate, poly salt It is preferably formed of a synthetic resin material such as vinyl.
  • the storage part 2 has a hollow inside, and this hollow part is filled with a conductive paste.
  • the storage section 2 is provided with a jaw 2 a on the side opposite to the filling section 4, so that a finger can be applied at the time of press-fitting to facilitate the press-fitting of the press-fitting section 3. .
  • the material for forming the filling portion 4 can be formed from various materials as long as the material is thin and flexible so that the tapered tube shape of the filling portion 4 can be inserted into the root canal. It is.
  • the press-fit portion 3 is used to push out the conductive glue stored in the storage portion 2, and a seal member 5 provided at an end of the press-fit portion 3 is used to seal the inner surface of the storage portion 2 with the press-fit portion 3.
  • the seal between them has been improved.
  • Various methods can be used to attach the seal member 5 to the press-fitting portion 3. For example, a method of attaching the pipe-shaped seal member 5 to a portion of the press-fit portion 3 having a small diameter, A method of integrally forming a sealing member 5 made of a synthetic resin around the periphery can be given.
  • a protruding part 3a that protrudes beyond the diameter of the press-fitting part 3, so that the root canal is filled with the conductive glue. In doing so, it is easy to apply force with your fingers.
  • the protruding portion 3 a may be formed separately from the press-fit portion 3 and adhered to the press-fit portion, or may be formed integrally with the press-fit portion 3.
  • a conductive member is incorporated in the press-fitting portion 3 of the glue injector 1 according to the first embodiment of the present invention.
  • the conductive member includes an end 6, a terminal 7, an end 8, an terminal 9, and a lead wire 10 extending between the end 6 and the end 7.
  • the end 6 is connected to a terminal 7 formed on the side of the sealing member 5 that contacts the conductive paste
  • the other end 8 is connected to the protrusion 3 a of the press-fitting portion 3.
  • a lead wire 10 is passed through the press-fitting portion 3 so as to be connected to a terminal 9 drawn out of the press-fitting portion 3 to the outside of the press-fitting portion 3 to be a conductive member.
  • the conductive glue is It is configured to be electrically connected to the unit.
  • These lead wires 10 and terminals 7 and 9 can be mounted by insert molding at the time of molding the press-fitted portion 3 or by incorporating them after molding of the press-fitted portion 3.
  • FIG. 2 is an enlarged view showing details of the terminal mounting portion of the terminal 9 of the glue injector 1 according to the first embodiment of the present invention.
  • FIG. 2 (a) is an enlarged view of the press-fit portion 3 including the terminal 9, and in FIG. 2 (a), the terminal 9 extends from a position close to the protrusion 3a to the outside of the press-fit portion 3. The terminal 9 is shown to protrude, and the electrode section 6 is connected to the terminal 9 via a clip.
  • FIG. 2 (b) shows that the terminal 9 is disposed inside the protrusion 3a and protrudes from the side of the protrusion 3a to the outside of the press-fit portion 3.
  • FIG. 2 (c) shows that the terminal 9 has an opening 11 open to the outside of the press-fitting portion 3 so that a needle-shaped electrode can be inserted or screwed into the terminal.
  • FIG. 2D shows that the terminal 9 is configured to protrude and extend along the circumferential direction of the press-fit portion 3 at a position close to the protrusion 3a of the press-fit portion 3. I have.
  • the configuration of the terminal 9 shown in FIG. 2 can be appropriately selected in consideration of the operability and the operability in performing the root canal filling operation, and the configuration of FIGS. 2 (a) to 2 (d) can be selected. It is also possible to use them in appropriate combinations.
  • FIG. 3 is a view showing a second embodiment of the glue injector 1 of the present invention.
  • FIG. 3 (a) is a partially cut-away side view of the glue injector 1 according to the second embodiment of the present invention.
  • the container includes a press-fitting portion 3 that can be inserted into the storage portion 2 and a filling portion 4 that is disposed at the tip of the storage portion 2 and that is formed in a tapered tube shape.
  • FIG. 3 (a) shows that the conductive glue D is accommodated in the accommodating part 2 by cutting out a part thereof.
  • a lead wire 10 protrudes from the vicinity of the bent part to the outside of the glue injector 1, and the tip part of the filling part 4 is The distance between the ends of the lead wire 10 is shorter than that of the glue injector 1 shown in Embodiment 1, and the influence of the resistance of the conductive glue D on the resistance measurement is reduced.
  • FIG. 3 (b) shows an enlarged view of the vicinity of the bent portion of the injection part 4 of the glue injector 1 shown in FIG. 2 (a).
  • the second embodiment of the present invention shown in FIG. The glue injecting device 1 is located at the leading end from the lead wire introduction portion of the filling portion 4 as necessary so that the end portion 6 can be arranged as close as possible to the tip end where the conductive glue D is injected.
  • the lead wire 10 may extend along the inner passage 4 a of the filling portion 4 in a direction adjacent to the portion. By doing so, the distance between the end portion 6 and the other electrode portion 104 (not shown) of the resistance measuring device through the conductive paste D is reduced, so that the resistance value of the conductive paste D is reduced. The influence on the resistance measurement can be reduced.
  • the terminal 9 shown in FIG. When drawing out the lead wire 10 from the glue injector 1 according to the second embodiment of the present invention shown in FIG. 3, the terminal 9 shown in FIG. Also, without providing the terminal 9, the both ends of the lead wire 10 are exposed so that sufficient conductivity can be obtained, and one end is disposed in the inner passage 4a, and the other end is sufficiently provided. It can also be drawn out of the filling portion wall 4c while sealing is performed using sealing means such as heat sealing or an adhesive 4b. Further, it is also possible to form the filling portion 4 integrally when forming the filling portion 4. The lead wire 10 pulled out to the floor of the glue injector 1 in this manner is placed along the outer side of the glue injector 1 so that the bare end does not come into contact with the oral cavity.
  • the jaw 2 can be extended to the vicinity of 2a, from which the electrode of the resistance measuring device can be connected.
  • the lead wire 10 used for this purpose may be of any thickness, but it should be as operable as possible, and should be as thin as possible so as not to impair the filling in the filling section 4. It is preferable to use a lead wire.
  • the lead wire 10 may or may not be covered.
  • FIG. 4 is a diagram showing an apparatus configuration for resistance measurement conventionally used for measuring root canal length.
  • the expanded root canal 21 is cleaned with hydrogen peroxide solution, and slightly overheated.
  • the reamer 20 is inserted into the root canal 21 with the hydrogen oxide water remaining.
  • the resistance measuring device 100 includes a current detector 101, a power supply 102, a control circuit 103 having a relay circuit, and an electrode unit 10 connected to the diseased tooth T via a lip. 4, and It has a current indicating device 105 composed of a flow display device and / or an alarm device, or both of them, and an electrode portion 106 connected to an end of the reamer 20.
  • the resistance measuring device 100 operates a current indicating device 105 by a control device 103 including a relay circuit based on the current signal detected by the current detector 101, and provides a predetermined value to a practitioner.
  • That the resistance or current value of the reamer 20 has reached a predetermined value, and that the tip of the reamer 20 has reached the root canal constriction P or a predetermined distance from the root canal constriction P, that is, about 1 mm. It is configured as follows.
  • FIG. 5 shows the resistance value of the reamer 20 as R1.
  • the reamer 20, the periodontal ligament, and the electrode 104 connected to the salivary duct, usually connected to the lip constitute an electric circuit having a resistance R 1.
  • the glue filling detection device of the present invention uses the conductive glue D as a probe electrode instead of using the reamer 20 as a probe electrode for root canal length measurement.
  • FIG. 6 is a view showing a configuration when the conductive glue D is filled into the root canal 21 of the diseased tooth T using the glue injector 1 of the first embodiment of the present invention.
  • the terminal 9 is connected to the electrode unit 106 of the resistance measuring device 100, and the electrode unit 104 of the resistance measuring device 100 is connected to the salivary duct. .
  • no current flows through the current detector 101 as described above, and the resistance remains high.
  • FIG. 7 is a diagram showing a state that the root canal 21 is filled with the conductive glue D using the same configuration as that of FIG. 6 using the glue injector 1 of the second embodiment of the present invention. . Shown in Figure 6 As shown, when the filling of the conductive paste D progresses and approaches the root canal stenosis P, a weak current starts to flow through the conductive paste D. Finally, when the conductive glue D comes into contact with the periodontal ligament, the resistance R 1 of the reamer 20 becomes the distance between the position where the lead wire 10 contacts the conductive glue D in the filling part 4 and the periodontal ligament.
  • the detection that the conductive glue D has been filled into the root canal constriction P can be determined by the fact that the resistance value becomes (6.5 kQ-R1 + R2).
  • the distance between the conductive paste D from the periodontal ligament and the resistance value is determined in advance by X-ray photography or the like. By measuring the relationship, it is also possible to estimate the distance from the periodontal ligament when a predetermined resistance value higher than (6.5 k Q-R 1 + R 2) is reached.
  • the glue filling the root canal is used as the current probe, the filling of the root canal with the glue is immediately completed if it is confirmed that the above-described resistance value has been reached. It can be determined.
  • the conventional work of measuring the root canal length by impedance measurement, and then further expanding the root canal and inserting a gutta-pa-chair point to fill the root canal is performed.
  • it is easy to detect whether or not the inside of the root canal has been completely filled with glue which was difficult in conventional root canal filling procedures using glue.
  • the power supply 102 used may be DC or AC, and the value of R 2 and the internal resistance of the resistance measuring device and the like can be appropriately set.
  • resistance measurement or impedance measurement can be used according to the type of the power supply 102 to be used. It is also possible to alert the practitioner by generating an alarm when the prescribed working length is reached.
  • Calcium hydroxide 50% by weight of solid content consisting of 50% by weight of eodohol and 30% by weight of silicone oil are kneaded to paste paste And
  • This paste paste was further kneaded with 10% by weight of silver powder based on the solid content. It was confirmed by the ammeter that a current of 5 mA flowed through the obtained conductive paste. Then, a heated 0.1 mm lead wire was inserted into the filling portion of a commercially available glue syringe to prepare a glue injection syringe which is the glue injector of the present invention shown in FIG. The conductive paste produced as described above was filled into the syringe for filling paste, and it was confirmed that the conductive paste was discharged from the tip.
  • the circuit shown in FIG. 8 is constructed using the above-mentioned conductive glue using unpulled teeth extracted from a patient, and is injected into the root canal 21 using the above-described syringe for injecting glue. Filling was performed. At this time, the tip of the electrode portion 104 of the resistance measuring device 100 was disposed at a position slightly beyond the root canal stenosis P into the root canal 21. When the introduction of the conductive paste was started and the introduction was continued, it was confirmed by the current detector 101 that a current flowed.
  • the filling part of the glue injection syringe was carefully extracted from the non-medullary teeth, and X-ray imaging was performed to observe the filling state of the conductive paste.
  • the conductive paste reached the root canal stenosis. It was confirmed that. In other words, by detecting that the conductive glue has reached the root canal constriction and that a circuit has been formed via the conductive glue, the root canal filling operation is performed and the root canal constriction is simultaneously detected. It was possible to detect that the paste was filled.
  • the conductive paste, paste injector and paste filling detection device of the present invention can provide a quicker, simpler and more reliable root canal filling detector than ever before.

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  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
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  • Inorganic Chemistry (AREA)
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Abstract

A dental glue, glue injector, and device for detecting injected glue are disclosed. The dental glue contains an electroconductive material. The glue injector (1) can contain an electroconductive glue (D) and includes an electroconductive member for electrically connecting the electroconductive glue (D) to an external electrode. The device comprises a current detector (101) for measuring the current flowing through the electroconductive glue (D) contained in the injector (1) and a current indicator (105) for indicating the current.

Description

明 細 書 歯科用糊剤、 糊剤注入器及び糊剤充填検出装置 技術分野 本発明は、根管治療に使用する薬剤及び器具並びに装置に関し、更に詳しくは、 根管充填に用いる糊剤、 そのための糊剤注入器及び糊剤充填検出装置に関するも のである。 背景技術 歯科臨床治療においては、 根管治療が多く行われる。 その中でも根管充填は、 根管処置の仕上げに相当する操作であり、 患歯の予後を大きく左右するものであ る。 この際、 根管狭窄部までの長さは患者によって個別に変動するため、 根管長 を測定する必要が生じる。 このための方法としては、 従来では、 リーマー、 ファ ィル、 測定用スケール等を測定針として X撮影を行い歯の実長を測定する方法の 他、 近年では妊婦等、 X線被爆することが好ましくない場合もあること、 迅速か つ正確なこと等の理由からインピーダンス測定を用いる根管長測定方法が広く用 いられている。  TECHNICAL FIELD The present invention relates to drugs, instruments and devices used for root canal treatment, and more particularly to a glue used for root canal filling. And a glue filling detecting device. BACKGROUND ART In dental clinical treatment, root canal treatment is often performed. Among them, root canal filling is an operation equivalent to finishing the root canal treatment, and greatly affects the prognosis of the affected tooth. At this time, since the length to the root canal stenosis varies individually depending on the patient, it is necessary to measure the root canal length. Conventionally, there are methods of measuring the actual length of teeth by performing X-ray photography using a reamer, file, measuring scale, etc. as a measuring needle.In recent years, pregnant women and others have been exposed to X-rays. Root canal length measurement methods using impedance measurement are widely used because they are sometimes undesirable and are quick and accurate.
このインピーダンス測定による根管長測定では、 通常、 ルートキヤナルメー夕 等を用い、 リ一マーの先端が歯根膜に接触した際の測定機器の条件に基づきィン ピーダンスを予め測定しておき、 この値となった時に根管部に挿入されているリ In this root canal length measurement by impedance measurement, the impedance is usually measured in advance based on the conditions of the measuring device when the tip of the reamer comes into contact with the periodontal ligament using a root canal meter, etc. When this value is reached, the screw inserted into the root canal
—マーの長さから約 l mm差し引いた長さを作業長とする力 又は歯根膜に接触 したことを示す値よりも測定される電流又は抵抗値が一定の値だけ異なった値と なった時の長さを作業長とすることにより行われる。 —When the measured current or resistance value differs by a certain value from the force that is the working length equal to the length obtained by subtracting about l mm from the length of the mer or the value that indicates that it has come into contact with the periodontal ligament The length is set as the working length.
従来このような根管充填に用いられる根管充填材ゃ根管充填剤としては、 各種 シーラ一を併用するガッタパ一チヤポイント、 シルバーポイントを用いるもの、 及び持続的消毒剤若しくは骨性瘢痕治癒促進剤等が配合されたペースト状の根管 充填剤である糊剤を用いるものを挙げることができる。 Conventionally, root canal filling materials used for such root canal fillings ゃ As root canal filling agents, those using gutta punch points and silver points in combination with various sealers, And a paste-type root canal filler containing a continuous disinfectant or a bone scar healing promoting agent or the like is used.
特に、 上述した根管部に糊剤を充填する術式としては、 手操作のリーマー等を 逆回転させて充塞する方法、 レンツ口等の螺旋形糊剤根管充填器といった専用器 具を用いる方法、 シリンジ等の注入器で注入する方法を挙げることができる。 し かしながら、 リーマーを用いたりレンツ口を用いる方法では、 根管長を予め測定 しておく等の作業が余分に必要とされること、 専用の器具を用レゝなければならな いこと、 という不都合がある。  In particular, the above-mentioned technique for filling the root canal with glue is a method in which a hand-operated reamer or the like is rotated in the reverse direction to fill it, or a special device such as a spiral glue root canal filling device such as a Lenz mouth is used. Method, and a method of injecting with an injector such as a syringe. However, the use of a reamer or Lenz mouth requires extra work such as pre-measurement of the root canal length, and requires the use of special instruments. There is an inconvenience.
図 9は、 糊剤を注入器で根管に対して充填を行う従来の術式を説明した図であ る。 従来の注入器を用いた糊剤の根管充填の施術は、 図 9 ( a ) に示すように、 糊剤 Mが充填された充填用の注入器 1を用いる。 この糊剤注入器 1は、 収納部 2 とこの収納部 2に挿入される圧入部 3とから構成されている。 収納部 2の先端部 には、 充填部 4として用いられる充填剤注入用チューブが取り付けられており、 この糊剤注入用チューブの先端部が、 開拡された根管部に挿入されているのが示 されている。  FIG. 9 is a diagram illustrating a conventional technique for filling a root canal with a glue using an injector. As shown in FIG. 9 (a), a filling syringe 1 filled with a glue M is used for a root canal filling operation using a conventional syringe. The glue injector 1 includes a storage section 2 and a press-fitting section 3 inserted into the storage section 2. A filler injection tube used as the filling unit 4 is attached to the tip of the storage unit 2, and the tip of the glue injection tube is inserted into the expanded root canal. It is shown.
従来の根管充填の施術においては、 図 9 ( b ) に示すように、 患歯の根管部に 充填剤注入用チューブを揷入しながら矢線 Aで示された方向に圧入部 3を押し込 んで、 根管内に糊剤 Mを充填する。 充填が終了すると、 充填剤注入用チューブを 根管から引き抜き、 根管充填の施術を終了する。  In the conventional root canal filling procedure, as shown in Fig. 9 (b), while inserting a filler injection tube into the root canal of the affected tooth, insert the press-fitting part 3 in the direction indicated by arrow A. Push to fill the root canal with glue M. When filling is completed, the filler injection tube is withdrawn from the root canal, and the root canal filling procedure is completed.
このように、 充填用の注入器を用いて糊剤を根管に充填するようにすれば、 根 管長を予め測定する作業は必要とされず簡便かつ迅速に施術を行えるという利点 があるものの、 糊剤が根尖部にまで確実に充填されたか否かが不明であり、 また 糊剤が根尖狭窄部を超えて充填されてしまうと根尖歯周組織を刺激する結果とな り、 また短い場合には、 残髄や、 根尖部に死腔の存在を許す結果となること等の 不都合があった。 したがって、 迅速かつ簡便に、 より確実な方法で根管充填を施 術するための糊剤、及び糊剤注入器並びに糊剤充填検出装置が必要とされている。 発明の開示 本発明者は、 このような課題に対して、 鋭意研究を重ねた結果、 導電性材料を 添加することにより導電性を付与した糊剤を、 導電部材を設けた注入器で根管に 充填していき、 作業長を測定する際に用いるインピーダンス測定と同様の方法を 用いて糊剤が根管に適切に充填されたことを確認できることを見出し、 本発明を 完成させるに至った。 In this way, if the glue is filled into the root canal using a filling syringe, there is an advantage that the operation for measuring the root canal length in advance is not required and the operation can be performed easily and quickly, It is unknown whether the glue has been reliably filled into the apical part, and if the glue is filled beyond the apical stenosis, it will stimulate the apical periodontal tissue. If it was too short, there were inconveniences such as residual medulla and the possibility of allowing a dead space at the apical tip. Therefore, there is a need for a glue, a glue injector and a glue filling detection device for performing a root canal filling in a quick, simple and more reliable manner. Disclosure of the invention The present inventor has conducted intensive studies on such a problem, and as a result, filled the root canal with a paste provided with a conductive member with a paste provided with conductivity by adding a conductive material. As a result, they found that it was possible to confirm that the glue was properly filled in the root canal using the same method as the impedance measurement used for measuring the working length, and completed the present invention.
本発明の上記課題は、 本発明の糊剤、 糊剤注入器及び根管充填検出装置を用い ることにより解決される。  The above object of the present invention is solved by using the paste, paste filler and root canal filling detecting device of the present invention.
すなわち、 本発明の第 1の構成では、 根管充填用糊剤に導電性材料を添加した ことを特徴とする歯科用糊剤が提供される。  That is, the first configuration of the present invention provides a dental paste characterized by adding a conductive material to a root canal filling paste.
本発明の第 1の構成では、 導電性材料が粉体とされることが好ましい。  In the first configuration of the present invention, it is preferable that the conductive material is a powder.
本発明の第 1の構成では、 導電性材料が、 金属粉体、 金属酸化物粉体、 ド一ピ ングされた金属酸化物粉体、 無機粒子に金属、 金属酸化物、 ドーピングされた金 属酸化物から選択される導電性材料をコーティングした導電性粉体、 炭素粉、 力 —ボンゥイス力一、 金属を固着させたウイスカ一からなる群より選択されること が好ましい。  In the first configuration of the present invention, the conductive material is a metal powder, a metal oxide powder, a doped metal oxide powder, a metal, a metal oxide, or a metal doped with inorganic particles. It is preferably selected from the group consisting of conductive powder coated with a conductive material selected from oxides, carbon powder, force—bond force, and whisker to which metal is fixed.
本発明の第 1の構成では、 根管充填用糊剤が水酸化カルシウム、 ハイドロキシ アツパタイト、 トリカルシウムホスフェートから選択される化合物を含有するこ とが好ましい。  In the first configuration of the present invention, it is preferable that the sizing agent for filling a root canal contains a compound selected from calcium hydroxide, hydroxyapatite, and tricalcium phosphate.
本発明の第 1の構成では、 根管充填用糊剤がョードホルム、 硫酸バリウム、 無 水硫酸亜鉛、 硫酸アルミニウム、 酸化亜鉛から選択される化合物を含有すること が好ましい。  In the first configuration of the present invention, it is preferable that the glue for filling the root canal contains a compound selected from hordeform, barium sulfate, anhydrous zinc sulfate, aluminum sulfate, and zinc oxide.
本発明の第 1の構成では、 根管充填用糊剤が、 シリコーンオイル、 グァヤコ一 ルホルムアルデヒド混合物、 プロピレングリコール、 無水エタノール、 ひまし油、 流動パラフィンから選択されるべヒクルを含有することが好ましい。  In the first configuration of the present invention, the paste for filling a root canal preferably contains a vehicle selected from silicone oil, guaiacol formaldehyde mixture, propylene glycol, anhydrous ethanol, castor oil, and liquid paraffin.
本発明の第 1の構成では、 根管充填用糊剤が、 ョ一ドホルム、 硫酸バリウム、 無水硫酸亜鉛、 硫酸アルミニウム、 酸化亜鉛から選択される化合物及びシリコー ンオイル、 グアヤコールホルムアルデヒド混合物、 プロピレングリコール、 無水 エタノール、 ひまし油、 流動パラフィンから選択されるべヒクルを含有すること が好ましい。 In the first configuration of the present invention, the glue for filling a root canal is a compound selected from chordform, barium sulfate, anhydrous zinc sulfate, aluminum sulfate, zinc oxide, silicone oil, guaiacol formaldehyde mixture, propylene glycol, anhydrous It preferably contains a vehicle selected from ethanol, castor oil, and liquid paraffin.
本発明の第 1の構成では、 根管充填用糊剤が X線造影剤を含有することが好ま しい。  In the first configuration of the present invention, it is preferable that the glue for filling a root canal contains an X-ray contrast agent.
本発明の第 1の構成では、 根管充填用糊剤の固形分に対して、 5〜5 0重量% の導電性材料を添加することが好ましい。  In the first configuration of the present invention, it is preferable to add 5 to 50% by weight of a conductive material based on the solid content of the glue for filling a root canal.
本発明の第 1の構成では、 根管充填用糊剤が、 水酸化カルシウム、 ハイドロキ シアツパタイト、 トリカルシウムホスフェートから選択される化合物を根管充填 用糊剤の固形分に対して 3 0重量%以上含有することが好ましい。  In the first configuration of the present invention, the glue for filling a root canal contains a compound selected from calcium hydroxide, hydroxyapatite, and tricalcium phosphate in an amount of 30% by weight or more based on the solid content of the glue for filling a root canal. It is preferred to contain.
本発明の第 2の構成では、 導電性糊剤を収納する収納部と、 該収納部に挿入さ れる圧入部と、 導電性糊剤を狭窄部に充填するための充填部と、 上記導電性糊剤 を外部電極に接続するための導電部材と、 を備えることを特徴とする歯科治療用 の糊剤注入器が提供される。  In the second configuration of the present invention, a storage section for storing the conductive glue, a press-fitting section inserted into the storage section, a filling section for filling the narrow section with the conductive glue, A conductive member for connecting the paste to the external electrode; and a paste injector for dental treatment.
本発明の第 2の構成では、 上記導電部材は、 上記糊剤収納部に挿入された上記 圧入部の端面に露出し上記導電性糊剤に接触する端子と、 上記圧入部に設けられ 圧入部外部に露出する端子と、 上記各端子の間を連結するリード線とから構成さ れていることが好ましい。  In the second configuration of the present invention, the conductive member includes a terminal that is exposed on an end face of the press-fitting portion inserted into the paste housing portion and contacts the conductive glue; and a press-fit portion provided in the press-fitting portion. It is preferable that the terminal be composed of a terminal exposed to the outside and a lead wire connecting the terminals.
本発明の第 2の構成では、 上記導電部材は、 上記圧入部内に揷通されているこ とが好ましい。  In the second configuration of the present invention, it is preferable that the conductive member is penetrated into the press-fit portion.
本発明の第 2の構成では、 上記導電部材は、 上記充填部の内側通路に延ばされ た端部と、 上記糊剤注入器の外部へと露出された端部と、 上記各端部の間を連結 するリ一ド線を備えていることが好ましい。  In the second configuration of the present invention, the conductive member includes an end extending to the inner passage of the filling portion, an end exposed to the outside of the glue injector, and an end of each end. It is preferable to provide a lead wire for connecting between them.
本発明の第 3の構成では、 導電性糊剤を内部に収容すると共に該導電性糊剤を 外部電極に電気的に接続させるための導電部材を備える糊剤注入器と、 狭窄部に 充填された上記導電性糊剤を通して流れる電流を測定するための電流検出器と、 上記導電性糊剤を通して流れる電流を示す電流指示装置とを備える糊剤充填検出 装置が提供される。 図面の簡単な説明 図 1は、 本発明の糊剤注入器を示した図である。 According to a third configuration of the present invention, a paste injector that contains a conductive paste therein and includes a conductive member for electrically connecting the conductive paste to an external electrode; And a current indicator for indicating a current flowing through the conductive glue, and a current detector for measuring a current flowing through the conductive glue. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a diagram showing a glue injector according to the present invention.
図 2は、 本発明の糊剤注入器の詳細部を示した図である。  FIG. 2 is a diagram showing a detailed portion of the glue injector of the present invention.
図 3は、 本発明の糊剤注入器の第 2の実施例を示した図である。  FIG. 3 is a view showing a second embodiment of the glue injector of the present invention.
図 4は、 従来作業長を測定するために従来用いられているインピーダンス測定 のための装置構成を示した図である。  FIG. 4 is a diagram showing the configuration of an apparatus for impedance measurement conventionally used for measuring the working length in the past.
図 5は、 リーマ一を用いたインピーダンス測定による根管長の測定方法を示し た図である。  FIG. 5 is a diagram showing a method for measuring a root canal length by impedance measurement using a reamer.
図 6は、 本発明の第 1の実施例の糊剤注入器を用いて患歯の根管に導電性糊剤 Dを充填する際の構成を示した図である。  FIG. 6 is a diagram showing a configuration when filling a conductive glue D into a root canal of a diseased tooth using the glue injector according to the first embodiment of the present invention.
図 Ίは、 本発明の第 2の実施例の糊剤注入器を用いて図 6と同一の構成により 導電性糊剤を根管に充填したところを示した図である。  FIG. 5 is a view showing a state in which a root canal is filled with a conductive paste by using the paste injector according to the second embodiment of the present invention and having the same configuration as that of FIG.
図 8は、 本発明の糊剤の試験に用いた電気回路構成を示した図である。  FIG. 8 is a diagram showing an electric circuit configuration used for testing the paste of the present invention.
図 9は、 従来のシリンジを用いた糊剤充填方法を示した図である。 発明を実施するための最良の形態 本発明は、 導電性の歯科治療用の糊剤、 すなわち導電性糊剤、 及びその充填の ために用いられる糊剤注入器並びに糊剤充填検出装置を提供するものである。 以 下、 導電性糊剤、 糊剤注入器、 糊剤充填検出装置について必要に応じて図面を参 照して詳細に説明を行う。  FIG. 9 is a diagram showing a method of filling a paste using a conventional syringe. BEST MODE FOR CARRYING OUT THE INVENTION The present invention provides a conductive paste for dental treatment, that is, a conductive paste, a paste injector used for filling the paste, and a paste filling detecting device. Things. Hereinafter, the conductive glue, the glue injector, and the glue filling detection device will be described in detail with reference to the drawings as necessary.
本発明の導電性糊剤としては、 従来の水酸化カルシウム糊剤、 酸化亜鉛ュ一ジ ノール糊剤、 ョ一ドホルム糊剤、 パラホルム ·ホルマリン糊剤を製造するための 組成に対し、 適宜導電性材料を練合して製造することができる。 これらの従来の 糊剤組成としては、 具体的には、 市販製品では、 トリオジンクパスタといったパ ラホルムアルデヒド、 無水硫酸亜鉛、 硫酸アルミニウム、 硫酸カリウム、 酸化亜 鉛の粉末をクレゾ一ル、 フエノール、 クレオソートに練合させたもの、 K r i 1 といったョ一ドホルム粉末、 パラクロロフエノールカンフル、 メン! ル、 ラノ リン、 ダリセンを練合させたもの、 カルビタールといった、 ョードホルム、 水酸 化カルシウム、スルファチアゾ一ル、 グアノフラシンといった粉末を T—力イン、 化カルシウム、 ョードホルムの粉末をシリコーンオイルで練合したもの、 F Rと いった水酸化カルシウム、 酸化亜鉛、 硫酸バリウムといった粉末をグアヤコール ホルムアルデヒド混合物、 プロピレングリコ一ル、 無水エタノール、 ひまし油、 流動パラフィンといったべヒクルに練合させたもの、 Seal apexといった重合レジ ンと水酸化カルシゥムとを含有するものを挙げることができる。 As the conductive paste of the present invention, a conductive paste suitable for the conventional compositions for producing calcium hydroxide paste, zinc oxide glue paste, chodeform paste and paraform / formalin paste is used. It can be manufactured by kneading materials. As for these conventional paste compositions, specifically, commercially available products include powders of paraformaldehyde such as trio zinc pasta, anhydrous zinc sulfate, aluminum sulfate, potassium sulfate, and zinc oxide powders such as cresol, phenol and creo. Kri 1 kneaded for sorting Powders such as hordeform powder, parachlorophenol camphor, menthol, lanolin, darinsene kneaded, carbital, etc., powders such as hordeform, calcium hydroxide, sulfatiazol, guanofuracin, T-force, Calcium iodide powder, kneaded form powder kneaded with silicone oil, powders such as FR, such as calcium hydroxide, zinc oxide, and barium sulfate, are mixed with guaiacol formaldehyde mixture, propylene glycol, anhydrous ethanol, castor oil, and liquid paraffin. And those containing a polymerization resin such as Seal apex and calcium hydroxide.
これら以外にも、 Endo f i 1 1といった高分子材料を基材として用いる糊剤や、 ノ\ ィドロキシアツパタイト、 トリカルシウムホスフエ一トを用いる糊剤も生体組織 に親和性を有し、 硬組織の形成促進作用があり、 しかも根尖孔から溢出しても吸 収性があるので用いることが可能である。 上述した水酸化カルシウム、 ハイド口 キシアツパタイト、 トリカルシウムホスフェートの含有量は、 導電性糊剤に含ま れる固形分の 3 0重量%以上とされていることが好ましく、 さらには 5 0重量% 以上とされていることが好ましい。  In addition, a paste using a polymer material such as Endo fi 11 as a base material and a paste using hydroxyapatite or tricalcium phosphate also have an affinity for living tissue, It can be used because it has the effect of promoting the formation of hard tissue and absorbs even if it overflows through the apical foramen. The content of the above-mentioned calcium hydroxide, hide mouth xixapatite, and tricalcium phosphate is preferably 30% by weight or more, and more preferably 50% by weight or more, of the solid content contained in the conductive paste. Is preferred.
本発明で用いることができる導電性材料としては、 上述した組成の糊剤に対し て充分練合することができるように導電性粉体を用いることが好ましい。 このよ うな導電性粉体は、 例えば粒径を体積平均粒径で 2 0 0 A〜 1 0 0 程度、 よ り好ましくは、 0 . 0 1〜8 0 m、 さらには、 1 0〜 5 0 m程度とすること が良好な充填を行うためには好ましい。 また、 導電性粉体の形状については、 球 状、 針状、 鱗片状の種々の粉体を用いることができる。  As the conductive material that can be used in the present invention, it is preferable to use a conductive powder so that the paste can be sufficiently kneaded with the paste having the above-described composition. Such a conductive powder has a particle diameter of, for example, about 200 A to 100 in terms of volume average particle diameter, more preferably 0.01 to 80 m, and further preferably 10 to 50 m. It is preferable to set it to about m in order to perform good filling. Further, as for the shape of the conductive powder, various kinds of powder such as sphere, needle, and scale can be used.
これらの粉体としては、 具体的には、 金粉、 銀粉、 銅粉、 ニッケル粉といった 金属粉体、 Z n O、 S n〇2、 I 203、 I T O、 S n O 2といった金属酸化物粉 体に、これらの金属酸化物粉体に必要に応じて導電性のアンチモンド一プ等、種々 のドーピングを施したもの、 B a S 04粉体に金属や S n 02といった導電性材 料をコーティングしたもの、 T i 02微粒子表面を A gでコ一ティングした粉体、 T i〇2を S n 02でコートした粉体、 導電性カーボンブラック、 チタン酸カリ ゥムゥイス力一に A gや P dを固着させた粉体、 ゥイスカーに導電性 S n 02を コーティングした粉体、 導電性カーボンウイスカ一等の高ァスぺクト比の針状粉 体等を挙げることができる。 特に針状粉体を用いることにより低添加量でも導電 性糊剤の体積抵抗率を改善することができる。 These powders, in particular, gold powder, silver powder, copper powder, metal powder such as nickel powder, Z n O, S N_〇 2, I 2 0 3, ITO , metal oxides such as S n O 2 the powder, these metal oxide powders anti Monde one flop like conductive as needed, those subjected to various doping, B a S 0 4 conductive such metals and S n 0 2 in the powder those coated with wood charge, T i 0 2 powder particle surface were co one coating in a g, powder T I_〇 2 coated with S n 0 2, conductive carbon black, potassium titanate Powder was fixed with A g and P d in Umuuisu force of all, the powder coated with conductive S n 0 2 in Uisuka, acicular powder such high § scan Bae transfected ratio of conductive carbon whisker, First Can be mentioned. In particular, by using needle-like powder, the volume resistivity of the conductive paste can be improved even with a small amount of addition.
上述した導電性糊剤の体積抵抗率は、 1 0— 2 Ω c m〜 1 0 6 Ω c mとすること が可能であり、 根管部に充填された際に導電性糊剤の抵抗値が歯根膜を通した抵 抗値と同程度の抵抗値を与えることができるようにされていることが好ましい。 後述するように、 体積抵抗率があまり高すぎると抵抗測定による根管狭窄部まで の充填の検出が、 充分な精度とならなくなる可能性があるためである。 The volume resistivity of the above conductive paste agent, it is possible to 1 0- 2 Ω cm~ 1 0 6 Ω cm, the resistance value of the conductive paste material upon filling the root canal portion root It is preferable that a resistance value approximately equal to the resistance value through the membrane can be given. As described below, if the volume resistivity is too high, the detection of filling to the root canal stenosis by resistance measurement may not be performed with sufficient accuracy.
上述した導電性粉体の本発明の導電性糊剤に対する添加量は、 必要な体積抵抗 率を導電性糊剤に与えることができるようにして適宜設定できるが、 上述した導 電性粉体を導電性糊剤に含まれる固形分に対して 5重量%〜 5 0重量%の範囲で 添加することが好ましく、 さらには、 導電性糊剤の固形分に対して 1 0重量%〜 3 0重量%で添加することが好ましい。  The amount of the above-mentioned conductive powder to be added to the conductive paste of the present invention can be appropriately set so that a necessary volume resistivity can be given to the conductive paste. It is preferably added in the range of 5% by weight to 50% by weight based on the solid content contained in the conductive paste, and more preferably 10% by weight to 30% by weight based on the solid content of the conductive paste. % Is preferably added.
また、 導電性糊剤に含有される上述したべヒクルの含有量としては、 導電性糊 剤の 1 0重量%〜7 0重量%、 より好ましくは 3 0重量%から 6 0重量%とする ことができる。  The content of the above-mentioned vehicle contained in the conductive paste is from 10% by weight to 70% by weight of the conductive paste, more preferably from 30% by weight to 60% by weight. Can be.
以下に、 水酸化カルシウムを主成分とする糊剤に導電性金属粉末を添加した本 発明の一実施態様について説明する。  Hereinafter, an embodiment of the present invention in which a conductive metal powder is added to a paste mainly containing calcium hydroxide will be described.
まず、 水酸化カルシウムを用意する。 水酸化カルシウムは、 日本薬局方のもの を用いることができ、 粒径が 1 0〜5 0 mのものを用いる。  First, prepare calcium hydroxide. As the calcium hydroxide, those of the Japanese Pharmacopoeia can be used, and those having a particle size of 10 to 50 m are used.
この導電性糊剤には、 ヨードホルムが添加されるとよい。 ョードホルムの添加 によって、 糊剤の抗菌性が極めて強くなり、 X線造影性も向上するためである。 さらに、水酸化カルシウムにシリコーンオイル等上述したべヒクルを添加する。 シリコーンィルの添加によって、 糊剤の耐腐食性を付与することができると共に 適切な流動性を付与することが可能となる。  Preferably, iodoform is added to the conductive paste. This is because the addition of eordholm significantly enhances the antibacterial properties of the paste and improves the X-ray contrast. Further, the above-mentioned vehicle such as silicone oil is added to calcium hydroxide. The addition of silicone yl makes it possible to impart the corrosion resistance of the sizing agent and to impart appropriate fluidity.
水酸化カルシウムに対する他の添加物としては、 各種のものが使用されるが、 例えば、 次炭酸ビスマス、 硫酸ビスマス、 ケィ酸ジルコニウム等の X線造影剤を 加えれば、 X線造影性を向上させることができる。 Various other additives are used for calcium hydroxide. For example, X-ray contrast agents such as bismuth subcarbonate, bismuth sulfate, and zirconium silicate are used. In addition, X-ray contrast can be improved.
また、 各粉体を分散させる際には従来知られているいかなる分散方法でも用い ることができる。 特に上述したような 1 0 !]!〜 5 0 mの粒径範囲の導電性粉体 を用いる場合には、 粉体の凝集性もそれほど高くはないので、 種々の混合 ·分散 方法を用いることが可能である。 本発明の導電性糊剤を調製するには、 例えば予 め水酸化カルシウムにョードホルムとシリコーンオイルとを加えて練合してベー スト化し、 その後、 導電性粉体を加えてもう一度練合する等することによって導 電性糊剤とし、 このようにして得られる導電性糊剤をシリンジ状の注入器内に収 容して、 必要に応じて用いるようにすることができる。 しかしながら、 本発明の 導電性糊剤が得られれば、 水酸化カルシウムといった非導電性粉末と、 導電性粉 末とを、 同時にシリコーンオイルといったべヒクルに練合させることもできる。 本発明の上述した実施態様では、 例えば、 上述した粒径範囲にある金、 銀、 銅、 ニッケル粉末等の導電性粉体を添加して上述の範囲の導電性を得ることができる。 このようにして糊剤に導電性が付与されるので、 導電部材を備えた注入器で糊剤 を根管に充填していき、 抵抗を測定することにより糊剤が根管に適切に充填され たことを確認できる。 さらには、 導電性粉体を糊剤に添加することにより、 糊剤 自体の熱伝導率が向上して知熱感 ·知電感を良好に得ることができる。 また、 特 に炭素粉を使用した場合は、 根管を処理する際に使用するホルムクレゾ一ルの主 成分であるホルムアルデヒドを吸収する効果も得られる。  In dispersing each powder, any conventionally known dispersion method can be used. In particular, when using conductive powder having a particle size in the range of 10!]! To 50m as described above, since the cohesiveness of the powder is not so high, various mixing / dispersion methods should be used. Is possible. In order to prepare the conductive paste of the present invention, for example, calcium hydroxide is added in advance with kneaded form and silicone oil and kneaded to form a base, and then conductive powder is added and kneaded again. By doing so, a conductive paste can be obtained, and the conductive paste thus obtained can be stored in a syringe-shaped injector and used as needed. However, if the conductive paste of the present invention is obtained, the non-conductive powder such as calcium hydroxide and the conductive powder can be simultaneously kneaded with a vehicle such as silicone oil. In the above-described embodiment of the present invention, for example, a conductive powder such as gold, silver, copper, or nickel powder having the above-described particle size range can be added to obtain the conductivity in the above-described range. In this way, the paste is given conductivity, and the paste is filled into the root canal with an injector equipped with a conductive member, and the glue is properly filled into the root canal by measuring the resistance. You can confirm that. Further, by adding the conductive powder to the sizing agent, the heat conductivity of the sizing agent itself can be improved, and a good feeling of heat and electro sensation can be obtained. In particular, when carbon powder is used, it has an effect of absorbing formaldehyde, which is a main component of formcresol used in treating root canals.
以下に本発明の導電性糊剤を根管に充填し、 抵抗測定を同時に可能とする糊剤 注入器の実施例を図面を参照しつつ説明する。  An embodiment of a glue injector for filling a conductive glue of the present invention into a root canal and simultaneously enabling resistance measurement will be described below with reference to the drawings.
図 1は、 本発明の第 1の実施例の糊剤注入器 1を示した分解斜視図である。 こ の注入器 1は、導電性糊剤の収容部 2と、 この収納部 2に挿入可能な圧入部 3と、 収納部 2の先端部に配置された先細りチューブ状に形成された充填部 4と、 圧入 部 3の収容部 2に揷入される側に設けられたシール部材 5とを備えている。  FIG. 1 is an exploded perspective view showing a glue injector 1 according to a first embodiment of the present invention. The injector 1 includes a conductive glue storage section 2, a press-fitting section 3 that can be inserted into the storage section 2, and a filling section 4 formed in a tapered tube shape disposed at the distal end of the storage section 2. And a seal member 5 provided on the side of the press-fitting portion 3 inserted into the housing portion 2.
上述した収納部 2と圧入部 3とは、 ガラス、 ポリプロピレン、 ポリカーボネー ト、 ポリ塩ィ匕ビニルといった合成樹脂を用いて形成することができるが、 破損と いった取り扱い性を考慮すれば、 ポリプロピレン、 ポリカーボネート、 ポリ塩ィ匕 ビニル、 といった合成樹脂材料から形成されていることが好ましい。収納部 2は、 内部が中空とされており、 この中空部に導電性糊剤が充填される。 この収納部 2 には、 充填部 4に対向する側に、 顎部 2 aが設けられており、 圧入の際に指をか けるようにすることで圧入部 3の圧入を容易にさせている。 充填部 4を形成する ための材料としては、 充填部 4の先細りチューブ形状を根管内に挿入できるよう に細く、 かつ柔軟に形成できる材料であれば、 種々の材料から形成することが可 能である。 The storage section 2 and the press-fitting section 3 described above can be formed using a synthetic resin such as glass, polypropylene, polycarbonate, or polyvinyl chloride. , Polycarbonate, poly salt It is preferably formed of a synthetic resin material such as vinyl. The storage part 2 has a hollow inside, and this hollow part is filled with a conductive paste. The storage section 2 is provided with a jaw 2 a on the side opposite to the filling section 4, so that a finger can be applied at the time of press-fitting to facilitate the press-fitting of the press-fitting section 3. . The material for forming the filling portion 4 can be formed from various materials as long as the material is thin and flexible so that the tapered tube shape of the filling portion 4 can be inserted into the root canal. It is.
圧入部 3は、 収納部 2に収納された導電性糊剤を押し出すために用いられ、 圧 入部 3の端部に配設されたシール部材 5が収納部 2の内側面と圧入部 3との間の シール性を向上させている。 このシール部材 5を圧入部 3に装着するには、 種々 の方法を用いることができ、 例えば、 パイプ状のシール部材 5を圧入部 3の小径 となった部分に装着する方法、 圧入部 3の周囲に合成樹脂製のシール部材 5を一 体に成形する方法を挙げることができる。  The press-fit portion 3 is used to push out the conductive glue stored in the storage portion 2, and a seal member 5 provided at an end of the press-fit portion 3 is used to seal the inner surface of the storage portion 2 with the press-fit portion 3. The seal between them has been improved. Various methods can be used to attach the seal member 5 to the press-fitting portion 3. For example, a method of attaching the pipe-shaped seal member 5 to a portion of the press-fit portion 3 having a small diameter, A method of integrally forming a sealing member 5 made of a synthetic resin around the periphery can be given.
圧入部 3の収納部 2に挿入される側とは反対側の端部には、 圧入部 3の径を超 えて突出する突出部 3 aが設けられていて、 導電性糊剤の根管充填に際して指で 力が加えやすいようにされている。 この突出部 3 aは、 圧入部 3と別体に形成し て圧入部に接着されていても良いし、 圧入部 3と一体に成形することもできる。 導電性糊剤の根管充填に際しては、 上述したような糊剤注入器 1を片手に保持し て顎部 2 aと、 突出部 3 aとを指の間に挟み込み、 力を加えることにより根管部 内に導電性糊剤が圧入される。  At the end opposite to the side where the press-fitting part 3 is inserted into the storage part 2, there is provided a protruding part 3a that protrudes beyond the diameter of the press-fitting part 3, so that the root canal is filled with the conductive glue. In doing so, it is easy to apply force with your fingers. The protruding portion 3 a may be formed separately from the press-fit portion 3 and adhered to the press-fit portion, or may be formed integrally with the press-fit portion 3. When filling the root canal with the conductive glue, hold the glue injector 1 as described above in one hand, sandwich the jaw 2a and the protrusion 3a between the fingers, and apply force to the root. A conductive glue is pressed into the tube.
図 1に示されるように、本発明の第 1の実施例の糊剤注入器 1の圧入部 3には、 導電部材が組み込まれている。 この導電部材は、 端部 6と、 端子 7と、 端部 8と、 端子 9と、 端部 6と端部 7との間に延びたリード線 1 0とから構成されている。 このれらの構成要素は、 端部 6がシール部材 5の導電性糊剤に接触する側に形成 された端子 7に接続され、 もう一方の端部 8が圧入部 3の突出部 3 aに近接した 位置から圧入部 3の外部へと引き出された端子 9に接続されるように圧入部 3内 にリード線 1 0が揷通されて導電部材とされているのが示されている。 このよう に圧入部 3にリード線 1 0を挿通させることにより、 導電性糊剤を圧入部 3の外 部と導通させるように構成されている。 これらのリード線 10や端子 7, 9は、 圧入部 3の成形時にィンサート成形する方法や、 圧入部 3の成形後に組み込む方 法により装着することができる。 As shown in FIG. 1, a conductive member is incorporated in the press-fitting portion 3 of the glue injector 1 according to the first embodiment of the present invention. The conductive member includes an end 6, a terminal 7, an end 8, an terminal 9, and a lead wire 10 extending between the end 6 and the end 7. In these components, the end 6 is connected to a terminal 7 formed on the side of the sealing member 5 that contacts the conductive paste, and the other end 8 is connected to the protrusion 3 a of the press-fitting portion 3. It is shown that a lead wire 10 is passed through the press-fitting portion 3 so as to be connected to a terminal 9 drawn out of the press-fitting portion 3 to the outside of the press-fitting portion 3 to be a conductive member. By inserting the lead wire 10 into the press-fit portion 3 in this manner, the conductive glue is It is configured to be electrically connected to the unit. These lead wires 10 and terminals 7 and 9 can be mounted by insert molding at the time of molding the press-fitted portion 3 or by incorporating them after molding of the press-fitted portion 3.
図 2は、 本発明の第 1の実施例の糊剤注入器 1の端子 9の端子取付部の詳細を 示した拡大図である。 図 2 (a) は、 端子 9を備える圧入部 3を拡大して示した 図であり、 図 2 (a) では、 端子 9が突出部 3 aに近接した位置から圧入部 3の 外部へと突き出しているのが示され、 この端子 9には、 電極部 6がクリップを介 して接続されているのが示されている。 また、 図 2 (b) では、 端子 9は、 突出 部 3 a内に配設されていて、 突出部 3 aの側部から圧入部 3の外部へと突き出し ているのが示されている。 図 2 (c) では、 端子 9は、 針状の電極が挿入、 又は 螺合できるように、 圧入部 3の外部に向かって開いた開口 1 1を備えているのが 示されている。 図 2 (d) では、 端子 9が、 圧入部 3の突出部 3 aに近接した位 置において圧入部 3の周方向に沿って突出して延ばされた構成とされているのが 示されている。 図 2に示した端子 9の構成は、 根管充填施術を行う際の操作性、 施術性を考慮して適宜選択することができるし、 図 2 (a) 〜図 2 (d) の構成 を適宜組み合わせて用いることも可能である。  FIG. 2 is an enlarged view showing details of the terminal mounting portion of the terminal 9 of the glue injector 1 according to the first embodiment of the present invention. FIG. 2 (a) is an enlarged view of the press-fit portion 3 including the terminal 9, and in FIG. 2 (a), the terminal 9 extends from a position close to the protrusion 3a to the outside of the press-fit portion 3. The terminal 9 is shown to protrude, and the electrode section 6 is connected to the terminal 9 via a clip. In addition, FIG. 2 (b) shows that the terminal 9 is disposed inside the protrusion 3a and protrudes from the side of the protrusion 3a to the outside of the press-fit portion 3. FIG. 2 (c) shows that the terminal 9 has an opening 11 open to the outside of the press-fitting portion 3 so that a needle-shaped electrode can be inserted or screwed into the terminal. FIG. 2D shows that the terminal 9 is configured to protrude and extend along the circumferential direction of the press-fit portion 3 at a position close to the protrusion 3a of the press-fit portion 3. I have. The configuration of the terminal 9 shown in FIG. 2 can be appropriately selected in consideration of the operability and the operability in performing the root canal filling operation, and the configuration of FIGS. 2 (a) to 2 (d) can be selected. It is also possible to use them in appropriate combinations.
図 3は、 本発明の糊剤注入器 1の第 2の実施例を示した図である。 図 3 (a) は、 本発明の第 2の実施例の糊剤注入器 1の一部切り欠き側面であり、 図 1で示 した糊剤注入器 1と同様に、収容部 2と、 この収納部 2に挿入可能な圧入部 3と、 収納部 2の先端部に配置され先細りチューブ状に形成された充填部 4とを備えて いる。 図 3 (a) では、 収容部 2の一部を切り欠いて、 導電性糊剤 Dが収容され ているのが示されている。 本発明の第 2の実施例の糊剤注入器 1の充填部 4は、 その屈曲部付近からリード線 10が糊剤注入器 1の外側へと突出しており、 充填 部 4の先端部とリ一ド線 10の端部間の距離が実施例 1で示した糊剤注入器 1に 比較して短くされており、 導電性糊剤 Dの抵抗による抵抗測定への影響が少なく されている。  FIG. 3 is a view showing a second embodiment of the glue injector 1 of the present invention. FIG. 3 (a) is a partially cut-away side view of the glue injector 1 according to the second embodiment of the present invention. Like the glue injector 1 shown in FIG. The container includes a press-fitting portion 3 that can be inserted into the storage portion 2 and a filling portion 4 that is disposed at the tip of the storage portion 2 and that is formed in a tapered tube shape. FIG. 3 (a) shows that the conductive glue D is accommodated in the accommodating part 2 by cutting out a part thereof. In the filling part 4 of the glue injector 1 according to the second embodiment of the present invention, a lead wire 10 protrudes from the vicinity of the bent part to the outside of the glue injector 1, and the tip part of the filling part 4 is The distance between the ends of the lead wire 10 is shorter than that of the glue injector 1 shown in Embodiment 1, and the influence of the resistance of the conductive glue D on the resistance measurement is reduced.
図 3 (b) には、 図 2 (a) で示した糊剤注入器 1の注入部 4の屈曲部付近を 拡大して示した図が示されている。 図 3 (b) に示した本発明の第 2の実施例の 糊剤注入器 1は、 端部 6を導電性糊剤 Dの注入が行われる先端部に可能な限り隣 接して配置できるように、 必要に応じて充填部 4のリード線導入部よりも先端部 に隣接する方向へと、 リード線 1 0を充填部 4の内側通路 4 aに沿って延ばすよ うにされていても良い。 このようにすることでより端部 6と導電性糊剤 Dを通し て抵抗測定装置の図示しない他方の電極部 1 0 4との距離を小さくすることで、 導電性糊剤 Dの抵抗値が抵抗測定に与える影響をより小さくすることができる。 図 3に示した本発明の第 2の実施例の糊剤注入器 1力 ^らリ一ド線 1 0を引き出す 際には、 端子 9として図 2に示したものを用いることもできるし、 また、 特に端 子 9を設けることなく、 リード線 1 0の両端部を導電性を充分に得られるように 露出させておき、 一方を内側通路 4 a内に配設し、 他端を充分にヒートシール、 接着剤 4 b等の密閉手段を用いてシールが行われるようにしながら充填部壁 4 c の外側に引き出すこともできる。 また、 充填部 4の成形の際に一体として成形す ることも可能である。 このように糊剤注入器 1の階部へと引き出されたリード線 1 0は、 口腔内にむき出しの端部が接触しないように、 糊剤注入器 1の外側側部 に沿って例えば収容部 2の顎部 2 a付近にまで延長させ、 そこから抵抗測定装置 の電極を接続するようにすることもできる。 このために用いられるリード線 1 0 は、いかなる太さのものでも用いることができるが、可能な限り操作性を付与し、 また、 充填部 4における充填性を損なわないようにできるだけ充分細いリ一ド線 を用いることが好ましい。 このリード線 1 0は、 被覆されていても被覆されてい なくとも良い。 FIG. 3 (b) shows an enlarged view of the vicinity of the bent portion of the injection part 4 of the glue injector 1 shown in FIG. 2 (a). The second embodiment of the present invention shown in FIG. The glue injecting device 1 is located at the leading end from the lead wire introduction portion of the filling portion 4 as necessary so that the end portion 6 can be arranged as close as possible to the tip end where the conductive glue D is injected. The lead wire 10 may extend along the inner passage 4 a of the filling portion 4 in a direction adjacent to the portion. By doing so, the distance between the end portion 6 and the other electrode portion 104 (not shown) of the resistance measuring device through the conductive paste D is reduced, so that the resistance value of the conductive paste D is reduced. The influence on the resistance measurement can be reduced. When drawing out the lead wire 10 from the glue injector 1 according to the second embodiment of the present invention shown in FIG. 3, the terminal 9 shown in FIG. Also, without providing the terminal 9, the both ends of the lead wire 10 are exposed so that sufficient conductivity can be obtained, and one end is disposed in the inner passage 4a, and the other end is sufficiently provided. It can also be drawn out of the filling portion wall 4c while sealing is performed using sealing means such as heat sealing or an adhesive 4b. Further, it is also possible to form the filling portion 4 integrally when forming the filling portion 4. The lead wire 10 pulled out to the floor of the glue injector 1 in this manner is placed along the outer side of the glue injector 1 so that the bare end does not come into contact with the oral cavity. The jaw 2 can be extended to the vicinity of 2a, from which the electrode of the resistance measuring device can be connected. The lead wire 10 used for this purpose may be of any thickness, but it should be as operable as possible, and should be as thin as possible so as not to impair the filling in the filling section 4. It is preferable to use a lead wire. The lead wire 10 may or may not be covered.
以下に本発明の導電性糊剤 Dの糊剤充填検出装置について図 4、 図 5、 図 6、 図 7を用いて説明する。 図 4は、 従来根管長を測定するために用いられている抵 抗測定のための装置構成を示した図である。 抵抗測定により根管長を測定する際 には、 患歯 Tの根管部を開拡する施術を行った後、 開拡された根管 2 1を過酸化 水素水で清掃し、 僅かに過酸化水素水が残存した状態として、 リーマー 2 0を根 管 2 1へと挿入して行く。  The glue filling detection device for the conductive glue D of the present invention will be described below with reference to FIGS. 4, 5, 6, and 7. FIG. FIG. 4 is a diagram showing an apparatus configuration for resistance measurement conventionally used for measuring root canal length. When measuring the root canal length by resistance measurement, after performing an operation to expand the root canal of the diseased tooth T, the expanded root canal 21 is cleaned with hydrogen peroxide solution, and slightly overheated. The reamer 20 is inserted into the root canal 21 with the hydrogen oxide water remaining.
抵抗測定装置 1 0 0は、 電流検出器 1 0 1と、 電源 1 0 2と、 リレー回路を備 える制御回路 1 0 3と、 患歯 Tと口唇部を介して接続される電極部 1 0 4と、 電 流表示装置又はアラーム装置又はそれらの双方から構成される電流指示装置 1 0 5と、 リーマー 2 0の端部に接続される電極部 1 0 6とを備えている。 この抵抗 測定装置 1 0 0は、 電流検出器 1 0 1により検出された電流信号に基づきリレ一 回路を含む制御装置 1 0 3により電流指示装置 1 0 5を動作させ、 施術者に対し て所定の抵抗値又は電流値が所定の値となったこと、 リーマー 2 0の先端部が根 管狭窄部 P、 又は根管狭窄部 Pから所定距離、 すなわち約 l mmの位置となった ことを知らせるように構成されている。 The resistance measuring device 100 includes a current detector 101, a power supply 102, a control circuit 103 having a relay circuit, and an electrode unit 10 connected to the diseased tooth T via a lip. 4, and It has a current indicating device 105 composed of a flow display device and / or an alarm device, or both of them, and an electrode portion 106 connected to an end of the reamer 20. The resistance measuring device 100 operates a current indicating device 105 by a control device 103 including a relay circuit based on the current signal detected by the current detector 101, and provides a predetermined value to a practitioner. That the resistance or current value of the reamer 20 has reached a predetermined value, and that the tip of the reamer 20 has reached the root canal constriction P or a predetermined distance from the root canal constriction P, that is, about 1 mm. It is configured as follows.
通常、 リーマー 2 0が歯根膜に達した場合には、 リーマ一 2 0と、 口唇部に接 続した排唾管とを介して形成される電気回路は、 抵抗測定装置 1 0 0の内部抵抗 を含めて 6 . 5 の抵抗を有することが知られている。 これを概略的に示した のが図 5である。 図 5には、 このリーマー 2 0の抵抗値をを R 1として示してい る。 図 5に示されるように、 リーマ一 2 0と、 歯根膜と、 通常では口唇部に接続 される排唾管に接続された電極部 1 0 4は、 抵抗 R 1を有する電気回路を構成す る。 通常、 リーマ一 2 0が挿入される根管内部は清浄化されてほぼ乾燥状態に近 い状態で測定が行われるので、 歯根膜に近接するまでは、 電流はほとんど流れな い。 しかしながら、 リーマ一 2 0の先端部が歯根膜へと接近するにつれて浸出液 等の影響、 又は残留している洗浄時に用いたわずかな過酸化水素水の導電性のた めに電流が流れ始め、 リーマー 2 0が歯根膜に到達した時点で上述したように回 路全体で 6 . 5 k Ωの抵抗値となる。  Normally, when the reamer 20 reaches the periodontal ligament, the electric circuit formed through the reamer 20 and the salivary duct connected to the labial area has an internal resistance of the resistance measuring device 100. Is known to have a resistance of 6.5. Figure 5 shows this schematically. FIG. 5 shows the resistance value of the reamer 20 as R1. As shown in FIG. 5, the reamer 20, the periodontal ligament, and the electrode 104 connected to the salivary duct, usually connected to the lip, constitute an electric circuit having a resistance R 1. You. Normally, since the inside of the root canal into which the reamer 20 is inserted is cleaned and the measurement is performed in a state close to a dry state, almost no current flows until the root canal is approached. However, as the tip of the reamer approached the periodontal ligament, current began to flow due to the effects of exudate, etc., or the residual hydrogen peroxide used during cleaning and the small amount of hydrogen peroxide. When 20 reaches the periodontal ligament, the resistance value of the entire circuit becomes 6.5 kΩ as described above.
本発明の糊剤充填検出装置は、 リーマー 2 0を根管長測定のプローブ電極とし て用いる代わりに、 導電性糊剤 Dをプローブ電極とするものである。  The glue filling detection device of the present invention uses the conductive glue D as a probe electrode instead of using the reamer 20 as a probe electrode for root canal length measurement.
図 6は、 本発明の第 1の実施例の糊剤注入器 1を用いて患歯 Tの根管 2 1に導 電性糊剤 Dを充填する際の構成を示した図である。 図 6に示されているように、 端子 9が抵抗測定装置 1 0 0の電極部 1 0 6に接続され、 抵抗測定装置 1 0 0の 電極部 1 0 4が排唾管に接続されている。 図 6に示した状態では、 電流検出器 1 0 1には上述したように全く電流側が流れず、 抵抗は高いままとなる。  FIG. 6 is a view showing a configuration when the conductive glue D is filled into the root canal 21 of the diseased tooth T using the glue injector 1 of the first embodiment of the present invention. As shown in FIG. 6, the terminal 9 is connected to the electrode unit 106 of the resistance measuring device 100, and the electrode unit 104 of the resistance measuring device 100 is connected to the salivary duct. . In the state shown in FIG. 6, no current flows through the current detector 101 as described above, and the resistance remains high.
図 7は、 本発明の第 2の実施例の糊剤注入器 1を用いて図 6と同一の構成によ り導電性糊剤 Dを根管 2 1に充填したところを示した図である。 図 6に示されて いるように、 導電性糊剤 Dの充填が進行し、 根管狭窄部 Pに接近すると、 導電性 糊剤 Dを通じて微弱な電流が流れ始める。 最終的に歯根膜に導電性糊剤 Dが接触 すると、 リーマ一 2 0の抵抗 R 1は、 充填部 4内の導電性糊剤 Dにリード線 1 0 が接触した位置と歯根膜までの距離に応じて決定される導電性糊剤の抵抗 R 2に 置き換えられる。 したがって根管狭窄部 Pにまで導電性糊剤 Dが充填されたこと の検出は、 抵抗値が (6 . 5 k Q - R 1 + R 2 ) となったことにより決定するこ とができる。 またこれとは別に、 導電性金属、 又は金属酸化物等を主体とする導 電性粉体を用いて、 予め X線写真等で導電性糊剤 Dの歯根膜からの距離と抵抗値 との関係を測定しておくことにより、 (6 . 5 k Q - R 1 + R 2 ) よりも高い所 定の抵抗値に達した場合に、 歯根膜からの距離を見積もることも可能である。 上 述したように、 本発明では、 根管に充填する糊剤を電流プローブとして用いるの で、 上述のような抵抗値に達したことが確認できれば、 直ちに根管の糊剤による 充填が終了したことが判断できる。 このようにすることで、 従来ではインピーダ ンス測定による根管長の測定を行い、 次いで、 根管部をさらに開拡してガッタパ —チヤボイントを挿入して根管充填を行うという 2重の作業が必要とされなくな ることに加え、 従来糊剤を用いて行われている根管充填施術では困難とされてい た根管内部に完全に糊剤が充填されたか否かの検出が容易に行えることになり、 従来にまして迅速、かつ簡便でより確実性の高い糊剤充填検出装置が提供できる。 用いる電源 1 0 2は直流でも交流でも良く、 上述した R 2の値、 及び抵抗測定 装置の内部抵抗等は、 適宜設定することができる。 また、 上述した測定方法等は、 用いる電源 1 0 2の種類に合わせて抵抗測定又はインピーダンス測定を用いるこ とが可能である。 また、 所定の作業長に達した場合に、 アラームを発生させて、 施術者に対し注意を促すことも可能である。 FIG. 7 is a diagram showing a state that the root canal 21 is filled with the conductive glue D using the same configuration as that of FIG. 6 using the glue injector 1 of the second embodiment of the present invention. . Shown in Figure 6 As shown, when the filling of the conductive paste D progresses and approaches the root canal stenosis P, a weak current starts to flow through the conductive paste D. Finally, when the conductive glue D comes into contact with the periodontal ligament, the resistance R 1 of the reamer 20 becomes the distance between the position where the lead wire 10 contacts the conductive glue D in the filling part 4 and the periodontal ligament. Is replaced by the resistance R 2 of the conductive glue determined according to Therefore, the detection that the conductive glue D has been filled into the root canal constriction P can be determined by the fact that the resistance value becomes (6.5 kQ-R1 + R2). Separately, using a conductive powder mainly composed of a conductive metal or metal oxide, the distance between the conductive paste D from the periodontal ligament and the resistance value is determined in advance by X-ray photography or the like. By measuring the relationship, it is also possible to estimate the distance from the periodontal ligament when a predetermined resistance value higher than (6.5 k Q-R 1 + R 2) is reached. As described above, in the present invention, since the glue filling the root canal is used as the current probe, the filling of the root canal with the glue is immediately completed if it is confirmed that the above-described resistance value has been reached. It can be determined. In this way, the conventional work of measuring the root canal length by impedance measurement, and then further expanding the root canal and inserting a gutta-pa-chair point to fill the root canal is performed. In addition to the fact that it is no longer necessary, it is easy to detect whether or not the inside of the root canal has been completely filled with glue, which was difficult in conventional root canal filling procedures using glue. In other words, it is possible to provide a quicker, simpler and more reliable glue filling detection device than ever before. The power supply 102 used may be DC or AC, and the value of R 2 and the internal resistance of the resistance measuring device and the like can be appropriately set. In the above-described measurement method and the like, resistance measurement or impedance measurement can be used according to the type of the power supply 102 to be used. It is also possible to alert the practitioner by generating an alarm when the prescribed working length is reached.
以下実施例を持ってさらに本発明を説明する。 下記の実施例は、 本発明を説明 するためのものであって、 本発明を制限するものではない。  Hereinafter, the present invention will be further described with reference to examples. The following examples are intended to illustrate, but not limit, the invention.
〔実施例 1〕  (Example 1)
水酸化カルシウム (和光純薬工業) 5 0重量%、 ョードホルム 2 0重量%から なる固形分に対して、 シリコーンオイル 3 0重量%を練合してペースト状の糊剤 とした。 Calcium hydroxide (Wako Pure Chemical Industries, Ltd.) 50% by weight of solid content consisting of 50% by weight of eodohol and 30% by weight of silicone oil are kneaded to paste paste And
このペースト状の糊剤に、更に上記固形分に対して銀粉 1 0重量%を混練した。 得られた導電性糊剤には、電流計により 5ミリ Aの電流が流れるのが確認された。 次いで、 市販の糊剤用シリンジの充填部に加熱した 0 . 1 mmのリード線を挿入 して図 3に示す本発明の糊剤注入器である糊剤注入用シリンジを作成した。 上述 のようにして製造した導電性糊剤をこの糊剤注入用シリンジへと充填し、 先端部 から導電性糊剤が吐出されることを確認した。  This paste paste was further kneaded with 10% by weight of silver powder based on the solid content. It was confirmed by the ammeter that a current of 5 mA flowed through the obtained conductive paste. Then, a heated 0.1 mm lead wire was inserted into the filling portion of a commercially available glue syringe to prepare a glue injection syringe which is the glue injector of the present invention shown in FIG. The conductive paste produced as described above was filled into the syringe for filling paste, and it was confirmed that the conductive paste was discharged from the tip.
上述の導線性糊剤を、 患者から抜歯した無髄歯を用いて図 8に示した回路を構 成し、 上述した糊剤注入用シリンジを用いて根管 2 1に注入して、 根管充填を施 術した。 この際、 抵抗測定装置 1 0 0の電極部 1 0 4の先端部を、 根管狭窄部 P を根管 2 1内へと僅かに超えた位置に配置した。 導電性糊剤を導入開始し、 導入 を続行したところ電流検出器 1 0 1により電流が流れたことが確認された。  The circuit shown in FIG. 8 is constructed using the above-mentioned conductive glue using unpulled teeth extracted from a patient, and is injected into the root canal 21 using the above-described syringe for injecting glue. Filling was performed. At this time, the tip of the electrode portion 104 of the resistance measuring device 100 was disposed at a position slightly beyond the root canal stenosis P into the root canal 21. When the introduction of the conductive paste was started and the introduction was continued, it was confirmed by the current detector 101 that a current flowed.
この後、 注意深く糊剤注入用シリンジの充填部を無髄歯から抜き出し、 X線撮 影を行つて導電性糊剤の充填状況を観測したところ、 導電性糊剤は根管狭窄部に まで達していることが確認された。 すなわち、 導電性糊剤が根管狭窄部にまで達 し、 導電性糊剤を介して回路が形成されたことを検出することにより、 根管充填 施術を施すのと同時に、 根管狭窄部まで糊剤が充填されたことを検出することが できた。  After that, the filling part of the glue injection syringe was carefully extracted from the non-medullary teeth, and X-ray imaging was performed to observe the filling state of the conductive paste.The conductive paste reached the root canal stenosis. It was confirmed that. In other words, by detecting that the conductive glue has reached the root canal constriction and that a circuit has been formed via the conductive glue, the root canal filling operation is performed and the root canal constriction is simultaneously detected. It was possible to detect that the paste was filled.
〔実施例 2〕  (Example 2)
ハイドロキシアパタイト 4 0重量%、 硫酸バリウム 1 0重量%、 シリコーンォ ィル 5 0重量%を混練してペースト状の糊剤とした。  40% by weight of hydroxyapatite, 10% by weight of barium sulfate and 50% by weight of silicone roll were kneaded to obtain a paste-like paste.
上記のペースト状の糊剤に、 更に金粉 2 5重量%を練合した。 得られた糊剤に 3 ミリ Aの電流が流れることが検流計により確認された。 25% by weight of gold powder was further kneaded with the above paste-like paste. It was confirmed by a galvanometer that a current of 3 mA flows through the obtained paste.
この導電性糊剤を用いて実施例 1と同様にして試験を行ったところ、 患歯の根 管狭窄部にまで導電性糊剤が充填されていることが確認された。 産業上の利用の可能性 上述したように、 本発明では、 根管に充填する糊剤を電流プローブとして用い るので、 上述のような抵抗値に達したことが確認できれば、 直ちに根管の糊剤に よる充填が終了したことを判断できる。 このため従来のようにインピーダンス測 定による作業長の測定を行い、 次いで、 根管の拡開を行いガッ夕パーチャポイン トを挿入して根管充填を行うという 2重の作業が必要とされなくなることに加え、 従来糊剤を用いて行われている根管充填施術では困難であった、 根管内部に完全 に糊剤が充填されたか否かの検出が容易に行えることになり、 本発明の導電性糊 剤、 糊剤注入器及び糊剤充填検出装置を用いれば、 従来にまして迅速、 かつ簡便 でより確実性の高い根管充填検出装置が提供できる。 A test was conducted using this conductive paste in the same manner as in Example 1, and it was confirmed that the conductive paste was filled even in the root canal stenosis of the affected tooth. Industrial applicability As described above, in the present invention, the glue filling the root canal is used as a current probe, so if it is confirmed that the above-mentioned resistance value has been reached, the filling of the root canal with glue is immediately terminated. You can judge that. This eliminates the need for the conventional work of measuring the working length by impedance measurement, then expanding the root canal, inserting a gappercha point, and filling the root canal as in the past. In addition, it has been difficult to perform a root canal filling operation using a conventional paste, and it is possible to easily detect whether or not the inside of the root canal is completely filled with the paste. The use of the conductive paste, paste injector and paste filling detection device of the present invention can provide a quicker, simpler and more reliable root canal filling detector than ever before.

Claims

請 求 の 範 囲 1 . 根管充填用糊剤に導電性材料を添加したことを特徴とする歯科用糊剤。 Scope of Claim 1. Dental paste characterized by adding a conductive material to the root canal filling paste.
2 . 導電性材料が粉体である請求項 1記載の歯科用糊剤。 2. The dental paste according to claim 1, wherein the conductive material is a powder.
3 . 導電性材料が、 金属粉体、 金属酸化物粉体、 ドーピングされた金属酸化物 粉体、 無機粒子に金属、 金属酸化物、 ドーピングされた金属酸化物から選択され る導電性材料をコーティングした導電性粉体、 炭素粉、 カーボンゥイスカー、 金 属を固着させたゥイスカーからなる群より選択される請求項 1記載の歯科用糊剤。 3. The conductive material is a metal powder, a metal oxide powder, a doped metal oxide powder, or an inorganic particle coated with a conductive material selected from a metal, a metal oxide, and a doped metal oxide. 2. The dental paste according to claim 1, wherein the paste is selected from the group consisting of conductive powder, carbon powder, carbon whiskers, and whiskers to which a metal is fixed.
4 . 根管充填用糊剤が水酸化カルシウム、 ハイドロキシアツパタイト、 トリ力 ルシゥムホスフェートから選択される化合物を含有する請求項 1記載の歯科用糊 剤。 4. The dental paste according to claim 1, wherein the paste for filling a root canal contains a compound selected from calcium hydroxide, hydroxyapatite, and triphosphate calcium phosphate.
5 . 根管充填用糊剤がョ一ドホルム、 硫酸バリウム、 無水硫酸亜鉛、 硫酸アル ミニゥム、酸化亜鉛から選択される化合物を含有する請求項 1記載の歯科用糊剤。 5. The dental paste according to claim 1, wherein the paste for filling a root canal contains a compound selected from chondform, barium sulfate, anhydrous zinc sulfate, aluminum sulfate, and zinc oxide.
6 . 根管充填用糊剤が、 シリコーンオイル、 グアヤコールホルムアルデヒド混 合物、 プロピレングリコール、 無水エタノール、 ひまし油、 流動パラフィンから 選択されるべヒクルを含有する請求項 1記載の歯科用糊剤。 6. The dental paste according to claim 1, wherein the paste for filling a root canal contains a vehicle selected from silicone oil, guaiacol formaldehyde mixture, propylene glycol, anhydrous ethanol, castor oil, and liquid paraffin.
7 . 根管充填用糊剤が、 ョードホルム、 硫酸バリウム、 無水硫酸亜鉛、 硫酸ァ ルミ二ゥム、 酸化亜鉛から選択される化合物及びシリコーンオイル、 グァヤコ一 ルホルムアルデヒド混合物、 プロピレングリコール、 無水エタノール、 ひまし油、 流動パラフィンから選択されるべヒクルを含有する請求項 5に記載の歯科用糊剤。 7. The glue for filling the root canal is a compound selected from eodoform, barium sulfate, anhydrous zinc sulfate, aluminum sulfate, zinc oxide and silicone oil, guaiacole formaldehyde mixture, propylene glycol, anhydrous ethanol, castor oil. The dental paste according to claim 5, further comprising a vehicle selected from liquid paraffin.
8 . 根管充填用糊剤が X線造影剤を含有する請求項 1記載の歯科用糊剤。 8. The dental paste according to claim 1, wherein the paste for filling a root canal contains an X-ray contrast agent.
9 . 根管充填用糊剤の固形分に対して、 5〜 5 0重量%の導電性材料を添加し た請求項 1記載の歯科用糊剤。 9. The dental paste according to claim 1, wherein a conductive material is added in an amount of 5 to 50% by weight based on the solid content of the paste for filling a root canal.
1 0 . 根管充填用糊剤が、 水酸化カルシウム、 ハイドロキシアツパタイト、 ト リカルシウムホスフェートから選択される化合物を根管充填用糊剤の固形分に対 して 3 0重量%以上含有する請求項 1記載の歯科用糊剤。 10. The root canal filling agent contains a compound selected from calcium hydroxide, hydroxyapatite and tricalcium phosphate in an amount of 30% by weight or more based on the solid content of the root canal filling agent. The dental paste according to claim 1.
1 1 . 導電性糊剤を収納する収納部と、 該収納部に挿入される圧入部と、 導電 性糊剤を狭窄部に充填するための充填部と、 前記導電性糊剤を外部電極に接続す るための導電部材と、 を備えることを特徴とする歯科治療用の糊剤注入器。 11. A storage section for storing the conductive paste, a press-fitting section inserted into the storage section, a filling section for filling the conductive paste into the constricted portion, and the conductive paste for an external electrode. A glue injector for dental treatment, comprising: a conductive member for connection.
1 2 . 前記導電部材は、 前記糊剤収納部に挿入された前記圧入部の端面に露出 し前記導電性糊剤に接触する端子と、 前記圧入部に設けられ圧入部外部に露出す る端子と、 前記各端子の間を連結するリード線とから構成されていることを特徴 とする請求項 1 1に記載の糊剤注入器。 12. The conductive member is exposed on an end face of the press-fitting portion inserted into the glue accommodating portion and is in contact with the conductive glue; and a terminal provided on the press-fitting portion and exposed to the outside of the press-fitting portion. The glue injector according to claim 11, further comprising: a lead wire connecting between the terminals.
1 3 . 前記導電部材は、 前記圧入部内に揷通されていることを特徴とする請求 項 1 2に記載の糊剤注入器。 13. The paste injector according to claim 12, wherein the conductive member is penetrated into the press-fit portion.
1 4. 前記導電部材は、 前記充填部の内側通路に延ばされた端部と、 前記糊剤 注入器の外部へと露出された端部と、 前記各端部の間を連結するリード線を備え ていることを特徴とする請求項 1 1に記載の糊剤注入器。 1 4. The conductive member has an end extending into an inner passage of the filling portion, an end exposed to the outside of the glue injector, and a lead wire connecting between the ends. The glue injector according to claim 11, comprising:
1 5 . 導電性糊剤を内部に収容すると共に該導電性糊剤を外部電極に電気的に 接続させるための導電部材を備える糊剤注入器と、 狭窄部に充填された前記導電 性糊剤を通して流れる電流を測定するための電流検出器と、 前記導電性糊剤を通 して流れる電流を示す電流指示装置とを備える糊剤充填検出装置。 15. A glue injector that contains a conductive glue therein and has a conductive member for electrically connecting the conductive glue to an external electrode, and the conductive glue filled in a constricted portion. A glue filling detecting device comprising: a current detector for measuring a current flowing through the conductive glue; and a current indicating device indicating a current flowing through the conductive glue.
PCT/JP1999/003975 1998-08-30 1999-07-26 Dental glue, glue injector, and device for detecting injected glue WO2000012050A1 (en)

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